Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shareen Ancog

Individual provider Mental Health Counselor · NPI 1114762747

Shareen Ancog is a Mental Health Counselor in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1992 Lewis Turner Blvd Ste 1057
Fort Walton Beach, FL 32547-1255
Phone: (850) 797-1552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 23973 (FL)

Record details

NPI number1114762747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1992 Lewis Turner Blvd Ste 1057, Fort Walton Beach, FL 32547-1255

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